Background: Script concordance testing is widely practiced to foster and assess clinical reasoning. Our study aimed to develop script concordance test (SCT) in the specialty of otolaryngology and test the validation using panel response pattern and consensus index.
Materials And Methods: The methodology was an evolving pattern of constructing SCTs, administering them to the panel members, and optimizing the panel with response patterns and consensus index. The SCT's final items were chosen to be administered to the students.
Results: We developed 98 items of SCT and administered them to 20 panel members. The mean score of the panel members for these 98 items was 79.5 (standard deviation [SD] = 4.4). The consensus index calculated for the 98-item SCT ranged from 25.81 to 100. Sixteen items had bimodal and uniform response patterns; the consensus index improved when eliminated. We administered the rest 82 items of SCT to 30 undergraduate and ten postgraduate students. The mean score of undergraduate students was 61.1 (SD = 7.5) and that of postgraduate students was 67.7 (SD = 6.3). Cronbach's alpha for the 82-item SCT was 0.74. Excluding the 22 poor items, the final SCT instrument of 60 items had a Cronbach's alpha of 0.82.
Conclusion: Our study revealed that a consensus index above 60 had a good item-total correlation and be used to optimize the items for panel responses in SCT, necessitating further studies on this aspect. Our study also revealed that the panel response clustering pattern could be used to categorize the items, although bimodal and uniform distribution patterns need further differentiation.
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http://dx.doi.org/10.4103/ijabmr.ijabmr_604_22 | DOI Listing |
Tunis Med
November 2024
Department of Anaesthesia and Intensive Care, Mongi Slim Hospital. University of Tunis El Manar, Faculty of Medicine, Tunis, Tunisia.
Unlabelled: Introduction-Aim: Clinical reasoning in situations of uncertainty is a skill to be acquired from initial training. The aim of this study was to evaluate the clinical reasoning ability in a context of uncertainty of health science students using the Script Concordance Test (SCT).
Methods: This was a cross-sectional and descriptive study which included students in the third year of the National License in Anesthesia-Resuscitation, with their consent, and a panel of experts made up of ten members.
BMC Anesthesiol
October 2024
Department of Anaesthesia and Intensive Care, Rouen University Hospital, 1 rue de Germont, Rouen, 76031, France.
Background: Working long consecutive hours' is common for anaesthesia and critical care physicians. It is associated with impaired medical reasoning's performance of anaesthesiology and serious medical errors. However, no study has yet investigated the impact of working long consecutive hours' on medical reasoning.
View Article and Find Full Text PDFMedEdPORTAL
September 2024
Associate Professor of Pediatrics, Department of Pediatrics, University of Cincinnati College of Medicine; Attending Physician, Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center.
Introduction: Clinical reasoning (CR) is required for physicians. Pediatric residents often gain CR skills through experiential learning. Currently, deliberate education on CR targeted toward pediatric residents is inconsistent.
View Article and Find Full Text PDFNurs Educ Perspect
September 2024
About the Authors Marie-France Deschênes, PhD, RN, is assistant professor, Faculty of Nursing Science, Université de Montréal, Montréal, Canada, and a regular researcher, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montréal, Canada. Éric Dionne, PhD, is professor, Faculty of Education Science, University of Ottawa, Ottawa, Canada, and research chair, Institut du Savoir de l'Hôpital Montfort, Ottawa, Canada. Laura Robert-Boluda, MSc, RNAm, is a doctoral student, Faculté des Sciences de l'Education et de la Formation, Université Haute-Alsace, Mulhouse, France. The first author received a postdoctoral fellowship scholarship from the Social Sciences and Humanities Research Council of Canada. For more information, contact Dr. Deschênes, at
Questions persist regarding the evaluation of cognitive processes related to clinical reasoning when resolving situations in a learning by concordance tool. This Delphi technique study aimed to validate a clinical reasoning assessment rubric based on script theory. Seventeen experts participated in the study.
View Article and Find Full Text PDFVaccine
October 2024
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, the Netherlands. Electronic address:
Background: Adverse events following immunization (AEFIs), especially if serious, may impact vaccine recipients' quality of life and financial well-being and fuel vaccine hesitancy. Nigeria rolled out COVID-19 vaccination in 2021 with little known about the impact of AEFIs on an individual's quality of life. No study in Africa has explored the health and financial impact of AEFIs.
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